Minimally invasive surgical techniques in diagnosis and treatment of lung cancer

Autor: N. Baltayiannis, S. Nikolouzos, A. Lioulias, A. Charpidou, K. N. Syrigos
Rok vydání: 2012
Předmět:
Zdroj: Hellenic Journal of Surgery. 84:113-119
ISSN: 1868-8845
0018-0092
DOI: 10.1007/s13126-012-0013-1
Popis: Technical advances during the 20th century have drastically revolutionized surgical practice, as a result of which minimally invasive procedures have gained rapid diffusion. The term video-assisted thoracic surgery is used to describe a modern minimally invasive surgical technique that nowadays represents a valid alternative to open procedures for many chest diseases. This paper reviews indications and current data regarding minimally invasive surgical approaches for diagnosis, staging and treatment of lung cancer. A systematic literature search was performed to identify relevant reports. Studies and articles were identified using online searches of The U.S. National Library of Medicine via www.Pubmed.com . We limited the bibliographic search to include only articles from 2006 onward. The thoracoscopic approach is currently considered the gold standard for the evaluation and treatment of suspected or known pleural effusion and in the diagnosis of indeterminate pulmonary nodules, and it has a complementary role to cervical mediastinoscopy in the invasive staging of mediastinal lymph nodes. It has also become an accepted approach for resection of peripheral early-stage lung cancer (stage I). Its role continues to evolve in the management of lung cancer. Major lung resections should be considered as one of the most complex and challenging operations to be performed thoracoscopically. The impact of thoracoscopic lobectomy, however, remains unclear, and it is far from achieving widespread use. Mediastinoscopy has remained the ‘gold standard’ in invasive staging tests of the mediastinum. The classic way of invasively assessing the aortopulmonary window is a Chamberlain procedure, also known as an anterior mediastinotomy.
Databáze: OpenAIRE
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